HomeMy WebLinkAboutWORK ACCEPTANCE FORM BINGHAM MECHANICAL - 22-00039 - Rexburg Idaho LDS Temple - RemodelContractor Work Acceptance Form
Business Name:*
Contact Name:*
Mailing Address
Email:*Phone:*
Mobile:
Discipline:*License #:*Expiration Date:*Value of Work:
Permit Number:*
Project Name:*
Project Address:*
By signing, I acknowledge that I am the indicated contractor for the above mentioned Permit/Project.
Signature Date
Contractor/Subcontractor
Bingham Mechanical
Jacob Olson
City
Idaho Falls
State / Province / Region
ID
Postal / Zip Code
83402
Country
USA
Update new contact information that is not already on file with the City of Rexburg
Street Address
4400 S Yellowstone Hwy
Address Line 2
jakeo@binghammechanical.com 208-522-4484
Plumbing PLB-C-10702 9/30/2022 433,000.00$
Permit Information
Please enter in the following format: 00-00000
22-00039 Rexburg Idaho LDS Temple
750 S. 2nd E. Rexburg, ID 83440
Acceptance
Sign 4/6/2022